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A vignette study to examine health care professionals' attitudes towards patient involvement in error prevention.
- Source :
- Journal of Evaluation in Clinical Practice; Oct2013, Vol. 19 Issue 5, p840-848, 9p, 4 Charts, 1 Graph
- Publication Year :
- 2013
-
Abstract
- Background Various authorities recommend the participation of patients in promoting patient safety, but little is known about health care professionals' (HCPs') attitudes towards patients' involvement in safety-related behaviours. Objective To investigate how HCPs evaluate patients' behaviours and HCP responses to patient involvement in the behaviour, relative to different aspects of the patient, the involved HCP and the potential error. Design Cross-sectional fractional factorial survey with seven factors embedded in two error scenarios (missed hand hygiene, medication error). Each survey included two randomized vignettes that described the potential error, a patient's reaction to that error and the HCP response to the patient. Setting Twelve hospitals in Switzerland. Participants A total of 1141 HCPs (response rate 45%). Measurements Approval of patients' behaviour, HCP response to the patient, anticipated effects on the patient-HCP relationship, HCPs' support for being asked the question, affective response to the vignettes. Outcomes were measured on 7-point scales. Results Approval of patients' safety-related interventions was generally high and largely affected by patients' behaviour and correct identification of error. Anticipated effects on the patient-HCP relationship were much less positive, little correlated with approval of patients' behaviour and were mainly determined by the HCP response to intervening patients. HCPs expressed more favourable attitudes towards patients intervening about a medication error than about hand sanitation. Conclusions This study provides the first insights into predictors of HCPs' attitudes towards patient engagement in safety. Future research is however required to assess the generalizability of the findings into practice before training can be designed to address critical issues. [ABSTRACT FROM AUTHOR]
- Subjects :
- PREVENTION of medical errors
ATTITUDE (Psychology)
CONFIDENCE intervals
STATISTICAL correlation
HAND washing
CASE studies
MEDICAL cooperation
MEDICAL personnel
MEDICATION errors
RESEARCH
RESEARCH funding
SCALE analysis (Psychology)
PATIENT participation
MULTIPLE regression analysis
CROSS-sectional method
DATA analysis software
DESCRIPTIVE statistics
Subjects
Details
- Language :
- English
- ISSN :
- 13561294
- Volume :
- 19
- Issue :
- 5
- Database :
- Complementary Index
- Journal :
- Journal of Evaluation in Clinical Practice
- Publication Type :
- Academic Journal
- Accession number :
- 90468518
- Full Text :
- https://doi.org/10.1111/j.1365-2753.2012.01861.x